Kodi dokotala wanu wakupatsani mankhwala otchedwa Lopinavir kapena munthu wina wapafupi nanu; Ritonavir (லோபினாவிர; ரோடன்விர) ngati mankhwala ochizira matenda a HIV? Ndizachilendo kumva mantha pang'ono ndikukhala ndi mafunso ambiri mukaona dzina la mankhwala otere. Choncho musachite mantha ndi chilichonse. Lero, tiyeni tikambirane za mankhwalawa, zomwe amachita m'thupi lathu, komanso zinthu zomwe muyenera kusamala nazo mukamamwa.
Mwachidule, kodi mankhwala awa ndi chiyani?
Lopinavir; Ritonavir kwenikweni ndi kuphatikiza kwa mankhwala awiri mu piritsi limodzi . Mankhwalawa timawatcha kuti ma antiretroviral. Nthawi zambiri amagwiritsidwa ntchito limodzi ndi mankhwala ena pochiza matenda a HIV. Ku Sri Lanka, nthawi zambiri mumapeza dzina la kampani ya `(Kaletra)`.
Ndikofunikira kwambiri kukumbukira kuti iyi si njira yochizira kachilombo ka HIV. Koma imalamulira kachilombo ka HIV m'thupi ndikuchepetsa ntchito yake. Komanso, ikagwiritsidwa ntchito moyenera, imatha kuchepetsa kwambiri , ngati siichotsa kwathunthu, chiopsezo chofalitsa kachilombo ka HIV kwa wina.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Dokotala wanu asanakupatseni mankhwala awa, ayenera kukhala ndi chithunzi chonse cha thanzi lanu. Chifukwa ndi lofunika kwambiri pa chitetezo chanu. Chifukwa chake, ngati muli ndi vuto lililonse mwa izi, onetsetsani kuti mwauza dokotala wanu popanda kubisa chilichonse .
- Ngati muli ndi matenda a shuga .
- Ngati muli ndi matenda a mtima .
- Ngati muli ndi vuto la magazi kuundana monga hemophilia .
- Ngati kale munali ndi pancreatitis .
- Ngati muli ndi matenda a chiwindi .
- Ngati muli ndi ziwengo ndi mankhwala awa (Lopinavir, Ritonavir), mankhwala ena, mafuta a castor, zakudya, kapena utoto wa chakudya.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba .
- Ngati mukuyamwitsa .
Kodi mungagwiritse ntchito bwanji mankhwalawa moyenera?
Kuti mupindule kwambiri ndi mankhwalawa, ndikofunikira kugwiritsa ntchito bwino.
- Imwani kapisozi iyi ndi kapu ya madzi.
- Mankhwalawa ayenera kumwedwa ndi chakudya. Musamwe muli ndi mimba yopanda kanthu.
- Khalani ndi chizolowezi chomwa mankhwala anu nthawi yomweyo tsiku lililonse. Ngati mumwa nthawi ya 8 koloko m'mawa, imwani nthawi ya 8 koloko m'mawa tsiku lililonse. Mwanjira imeneyi, simudzayiwala, ndipo mankhwalawo adzagwira ntchito bwino.
- Kuti muchepetse kachilombo ka HIV, ndikofunikira kwambiri kumwa mlingo ndi nthawi yoyenera, monga momwe dokotala wanu wanenera.
- Musasiye kumwa mankhwala kapena kudumpha mlingo, ngakhale mutamva bwino. Kuchita zimenezi kungapangitse kuti kachilombo ka HIV kasathe kukana mankhwala awa ndi mankhwala ena. Izi zikutanthauza kuti mankhwalawo angasiye kugwira ntchito mtsogolo. Chifukwa chake, musasiye kumwa mankhwalawo popanda upangiri wa dokotala.
- Ngati mukupereka mankhwalawa kwa ana, lankhulani ndi dokotala wa ana za mankhwalawa. Nthawi zina, ngakhale ataperekedwa kwa ana, pali zinthu zina zofunika kuziganizira.
Kodi mungachite chiyani ngati mwaphonya mlingo?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira (mwachitsanzo, osakwana maola 4), dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri .
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa mlingo woyenera, musachite mantha ndipo nthawi yomweyo imbani National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Zinthu zina zomwe zingagwirizane ndi mankhwala
Lopinavir; Ritonavir ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena ambiri. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mankhwala olembedwa ndi dokotala komanso omwe amagulitsidwa mumsika wa mankhwala, zitsamba, ndi zowonjezera. Komanso, uzani dokotala wanu ngati mumasuta fodya, kumwa mowa, kapena kugwiritsa ntchito mankhwala ena.
Gome ili m'munsimu lili ndi zitsanzo zochepa chabe.
| Gulu la mankhwala | Zitsanzo |
|---|---|
| Musamwe Lopinavir; Ritonavir ndi izi | |
| Mankhwala ena oletsa nkhawa kapena tulo | Midazolam, Triazolam |
| Mankhwala ena ochepetsa mafuta m'thupi | Lovastatin, Simvastatin |
| Mankhwala ena a mutu waching'alang'ala | Ergotamine, Dihydroergotamine |
| Zogulitsa zitsamba | Wort wa St. John |
| Mankhwala a chifuwa chachikulu | Rifampin |
| Izi zingagwirizane - onetsetsani kuti mwadziwitsa dokotala wanu | |
| Mapiritsi oletsa kubereka | Mitundu yonse ya mapiritsi oletsa kubereka |
| Mankhwala ochiza matenda ogonana | Sildenafil, Tadalafil, Vardenafil |
| Mankhwala opha tizilombo | Clarithromycin |
| Mankhwala ena a kuthamanga kwa magazi | Felodipine, Nifedipine |
| Mitundu ya ma steroid | Prednisolone, Dexamethasone, Fluticasone (zopumira) |
Zinthu zoti muzisamala nazo mukamamwa mankhwala
- Pitani kuchipatala nthawi zonse: Pitani kwa dokotala wanu nthawi zonse kuti akakuoneni. Muuzeni ngati muli ndi zizindikiro zatsopano. Mungafunike kuchita kafukufuku wofunikira wa magazi kuti muwone kuchuluka kwa magazi anu pamene mukumwa mankhwalawa.
- Pewani kufalikira kwa kachilombo ka HIV: Kachirombo ka HIV kangafalikire kudzera mu kugonana kapena magazi. Lankhulani ndi dokotala wanu za njira zotetezeka zopewera kufalikira kwa kachilombo ka HIV.
- Chisamaliro chapadera pa njira zolerera:
- Shuga m'magazi: Mankhwalawa angawonjezere shuga m'magazi. Ngati muli ndi matenda a shuga, funsani dokotala wanu ngati mukufuna kusintha zakudya zanu kapena mankhwala a shuga.
- Sungani pamalo omwe ana sangafikire .
- Sungani makapisozi awa mufiriji pa kutentha kwa pakati pa 2°C ndi 8°C . Tayani mankhwala otha ntchito.
- Ngati simungathe kuisunga mufiriji, muyenera kutaya mankhwalawo patatha miyezi iwiri ngati muisunga kutentha kwa chipinda (mpaka 25°C).
- Lopinavir; Ritonavir ndi mankhwala omwe amaletsa matenda a HIV, koma si mankhwala.
- Mankhwalawa ayenera kumwedwa pamodzi ndi chakudya, nthawi yeniyeni yomwe dokotala wanu wakupatsani, komanso mu mlingo womwe mwapatsidwa. Musamadumphe mlingo.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
- Popeza mankhwalawa angachepetse mphamvu ya mapiritsi oletsa kubereka, lankhulani ndi dokotala wanu za kugwiritsa ntchito njira ina yolerera kubereka, monga makondomu.
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi mavuto aakulu monga kupweteka kwambiri m'mimba, matuza a pakhungu, kapena zizindikiro za ziwengo.
- Sungani mankhwala mufiriji monga momwe mwalangizidwira. Mankhwalawa ndi a inu nokha, musawagawire ndi ena.
Mapiritsi oletsa kubereka omwe mumagwiritsa ntchito sangakhale othandiza kwambiri mukamamwa mankhwalawa. Chifukwa chake, lankhulani ndi dokotala wanu za kugwiritsa ntchito njira ina yolerera kubereka kuti mupewe kutenga mimba. Mwachitsanzo, ndikofunikira kugwiritsa ntchito njira yolepheretsa kubereka monga kondomu.
Zotsatirapo zomwe zingatheke
Monga mankhwala ena aliwonse, izi zitha kukhala ndi zotsatirapo zake. Ngakhale zina sizowopsa, zina ndi zomwe muyenera kudziwa nthawi yomweyo.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zinthu zoti muuze dokotala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mwachangu komanso kosasinthasintha, kumva kukomoka. |
| Kupweteka kwambiri m'mimba | Kupweteka kwambiri m'mimba komwe kumaphatikizapo nseru ndi kusanza (izi zitha kukhala zizindikiro za kapamba). |
| Matuza a pakhungu | Kufiira, kutupa, ndi kutsekeka kwa khungu, kuphatikizapo mkati mwa pakamwa. |
| Zizindikiro za shuga wambiri m'magazi | Ludzu lochuluka kuposa masiku onse, njala, kukodza pafupipafupi, kutopa kwambiri, kusawona bwino. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kutsegula m'mimba | Izi ndi zotsatira zoyipa zomwe zimachitika kawirikawiri. |
| Mutu, kusowa tulo | Mutu wamba kapena mavuto ogona. |
| Kusintha kwa mafuta m'thupi | Kukhala wonenepa m'chiuno ndi msana, koma woonda m'manja, miyendo, ndi nkhope. |
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